Archive for the tag: Syndrome

Diabetic Ketoacidosis (DKA) & Hyperglycemic Hyperosmolar Syndrome (HHS)

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During this lecture Professor Zach Murphy will be presenting on the differential diagnosis of diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar syndrome (HHS). These are the most common and life threatening acute complications from diabetes mellitus. Throughout the length of this lecture you will be able to learn the clinical presentations of DKA and HHS, how each condition is diagnosed, along with the treatment of these medical emergencies. We will be presenting on the most relevant concepts which will be delivered in a high yield format to compliment your studies. We hope you enjoy this lecture and be sure to support us below!

Kussmaul Breathing in 10 y/o DM-I: https://www.youtube.com/watch?v=TG0vpKae3Js&feature=youtu.be

Normal values pertinent to this lecture
1) Anion Gap: 3-10 mEQ/L
2) Serum Osmolality: 285-295 mOsm/kg
3) pH= 7.35-7.45
4) PaCO2: 35-45mmHg
5) HCO3-: 22-26 mEQ/L
Reference: CMDT

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Robert Lustig – What is Metabolic Syndrome Anyway?

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Robert Lustig – What is Metabolic Syndrome Anyway?

From the JumpstartMD Weight of the Nation Conference 2018

JumpstartMD is a medical practice dedicated to pre-emptive medicine through lifestyle changes and healthy, sustainable weight loss. Personalized program based on proven nutritional science, one-on-one lifestyle counseling and real, fresh food. Founded by Stanford trained physicians and board-certified Diplomates of the American Board of Obesity Medicine. PPO, HSA and FSA reimbursement support provided to patients.

With a strong commitment to reducing the quality and quantity of carbohydrates consumed, the stigmata of metabolic syndrome and fatty liver disease can reverse even before weight loss although much more dramatically in combination. For example, with as little as 10 percent weight loss, which 95 percent of our clients achieve at 6 months, NAFLD (Nonalcoholic fatty liver disease) is often reversed. Cost wise, patients without NAFLD show a 26 percent lowering in their health costs over 5 years.

But more importantly, with pre-emptive elimination of fatty liver disease, there’s no need to see the transplant surgeon. The prescription is simply guiding and supporting people toward healthy lifestyle changes that work to preempt diseases like fatty liver disease or the others that go along with it: diabetes, heart attacks, strokes, metabolic syndrome, various cancers, and arguably dementia. The improvements are dramatic, transformational, and utterly sensible.

JumpstartMD has convenient weight loss centers throughout the San Francisco Bay Area, from Marin to Monterey and San Francisco to Pleasanton. Our offices have a range of services and hours to help support your goals and lifestyle.

More at www.jumpstartmd.com or (855) JUMPSTART.
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Root Cause of Insulin Resistance, Metabolic Syndrome & Cardiovascular Disease (description below)

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Below are very safe supplements shown to improve insulin sensitivity
-Vitamin D
-Magnesium
-Chromium
-Cinnamon
-Apple cider vinegar
-Fish oil
-Tumeric
-Zinc
-Exercise/muscle contraction upregulates Glucose transporters in an insulin-independent fashion lowering blood glucose!

Personally, I believe excessive positive energy balance (obesity+sedentary), coupled with a genetic predisposition towards ectopic fat deposition and beta cell susceptibility for lipotoxicity, are major factors leading to insulin resistance.

VLDL — pancreas fat
Hypertrophic adipose tissue — lpl modification — higher residence time
Hypertrophic adipose tissue — Lipolysis — liver beta oxidation — Gluconeogensis
GWAS — susceptible to pancreas damage — T2D
Subcutaneous hypertrophy — macrophage release Lipolysis THF-alpha & IL-6 — Lipolysis — DAG in liver — PKC epsilon in liver

(PKC theta in muscle)

What is Metabolic Syndrome?

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Metabolic syndrome is a group of risk factors that raises risk of heart disease, diabetes, stroke, and other health problems and it make frequently serious and long-term complications.
What is metabolic syndrome, How metabolic syndrome be prevented and treated?

Today let’s talk about it.
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This animation helps the learner to understand the lipid abnormalities commonly seen in patients with type 2 diabetes. The animation focuses on the major role that elevated plasma free fatty acids (FFAs) play in the development of type 2 diabetes.
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Metabolic Syndrome

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Metabolic syndrome is a cluster of risk factors that can increase your risk of heart disease. Find out more about what these factors are and how you can prevent and manage this common yet potentially dangerous condition.

Presented by: Tyler D. Webster, MD, Cardiologist
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#162 - Sarah Hallberg, D.O., M.S.: Treating metabolic disease, & a personal journey through cancer

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Sarah Hallberg is the Medical Director at Virta Health and a physician who has spent nearly two decades treating patients with obesity and type 2 diabetes. In the first half of this episode, Sarah discusses how she became a huge believer in the efficacy of carbohydrate restriction for the treatment of type 2 diabetes through her research and clinical experience. Sarah challenges the common beliefs about the role of dietary fat and carbohydrate on the plasma makeup of fatty acids and triglycerides. She also expresses the importance of understanding early predictors of metabolic illness—highlighting one particular fatty acid as the most important early predictor—before finishing with a discussion about how doctors might be able to personalize patients’ metabolic management in the future. In the second half of this episode, Sarah tells the personal story of her own lung cancer diagnosis. She talks about dealing with her grief, deciding to continue her work while prioritizing her family, and how she devised a plan to extend her survival as long as possible.

We discuss:
00:00:00 – Intro
00:00:10 – How Sarah discovered the profound impact of carbohydrate restriction for reversing obesity and type 2 diabetes
00:13:30 – Prediabetes and metabolic syndrome: prevalence, early signs, and the importance of treating early
00:27:45 – Overview of fatty acids, how they are metabolized, and understanding what you see in a standard blood panel
00:33:45 – The relationship between diet composition and metabolic markers
00:47:50 – Why palmitoleic acid is such an important biomarker
1:00:30 – The best early indicators of metabolic disease
1:07:45 – Personalized management of metabolic illness
1:16:50 – Sarah’s cancer diagnosis and the beginning of her journey
1:30:00 – The emotional impact of a devastating diagnosis
1:40:30 – Sarah’s plan to extend survival
1:52:15 – Sarah’s aggressive treatment plan
2:05:00 – Life-threatening complications and the return of her cancer
2:18:26 – Sarah’s reflections on her approach to life with chronic cancer and balancing her time

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About:

The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 30 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more.

Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life).

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METABOLIC SYNDROME क्या है ये ? || METABOLIC SYNDROME WHAT IS IT ?

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#Metabolic #MetabolicSyndrome #metabolicHindi
METABOLIC SYNDROME क्या है ये ? || METABOLIC SYNDROME WHAT IS IT ? || विशेषज्ञ -डॉक्टर वी.के.मिश्रा (गैस्ट्रो एवं लिवर) || The Gastro Liver Hospital Kanpur || हॉस्पिटल में सम्पर्क करने के लिए या डॉक्टर से सलहा लेने के लिए इस नंबर पे बात करे :- 9956653103, 9793555775, 9793555776

Scientific facts with evidence
GASTRO LIVER HOSPITAL :- https://www.youtube.com/channel/UCgsBTy-UmF4OL-60iS5CK5w?view_as=subscriber

Dr. Vinod K.Mishra MBBS, MD, DM (Gastro) is a senior gastroenterologist , hepatologist, and endoscopist. He is an alumini of prestigious post graduate institute of medical education & research, (PGIMER) Chandigarh. He is a busy gastroenterologist performing about 1000 endoscopic procedures per month. He specializes in liver problems and all gastrointestinal diseases. He is trained in endoscopy, colonoscopy, ERCP, and endoscopic ultrasound.He has previously worked at All India Institute of Medical Sciences, New Delhi and Medical College, Jabalpur. He was President of UP chapter of Gastroenterology society.

The GASTRO LIVER HOSPITAL, where he works is a gastroenterology and hepatology super speciality hospital. Hospital has MEDICAL,and SURGICAL wings. It has ICU and plenty of accommodation facilities of different levels. The hospital performs all complicated and advanced surgeries under team of very senior and experienced gastro surgeon . All laparoscopic and open surgeries done .Advanced operations as whipple’s preocedure and oespophageal replacement s are done regularly not to mention of routine surgeries.This is possibily the only centre in north india doing cholecystectomy with intra operative ERCP on regular basis for Gall Bladder stone and CBD stones.The endoscopy unit has following facilities—-

• Endoscopy including multiband imaging.
• Colonoscopy
• ERCP
• Endoscopic ultrasound.
• Capsule endoscopy.
• Hydrogen breath test.
• Urea breath
• Fibroscan for liver diseases.

Currently he is working as
Dr. Vinod K. Mishra MD, DM (Gastro)
Chairman and Chief of Gastroenterology, Liver diseases and Endoscopy services at
The Gastro Liver Hospital
Swaroop Nagar Kanpur (UP), India

For online appointment or consultation
https://www.practo.com/kanpur/doctor/vinod-k-mishra-gastroenterologist

for more information visit our website

Home

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Hyperglycemia or high blood sugar ,cause many of the warning signs of diabetes
• Slow-healing cuts and sores
• More hunger
• Peeing a lot
• Blurry vision
• Heavy thirst
. Fatigue
• Vaginal and skin infections
• Slow-healing cuts and sores
• Numb or tingling feet
Early Signs of Diabetes
Both types of diabetes have some of the same telltale warning signs.
. hunger and fatigue
•Peeing more often and being thirstier
.Dry mouth and itchy skin
.blurred vision
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more videos:
How to prevent urinary incontinence and pelvic floor muscle strengthening,kegle exercise for men and women

The 12 Best Foods to Control Diabetes Naturally

How to reduce menstrual pain and muscle cramp natural home remedies

Diabetes control tips use of Ayurveda treatment Type 2 Diabetes mellitus

lose belly fat in 6 simple tips/ lose belly fat at home based on science

Immunity boosters to make you #coronasafe

Dr Q : മെറ്റബോളിക് സിൻഡ്രം അറിഞ്ഞിരിക്കേണ്ട കാര്യങ്ങൾ| Metabolic syndrome | 4th January 2019

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#Metabolicsyndrome #Doctorq #MalayalamNews #KeralaLatestNews #News18

Metabolic syndrome is a cluster of conditions — increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels — that occur together, increasing your risk of heart disease, stroke and diabetes.

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Prof. Robert Lustig – 'Sugar, metabolic syndrome, and cancer'

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Prof. Robert Lustig - 'Sugar, metabolic syndrome, and cancer'

Robert H. Lustig, M.D., M.S.L. is Professor emeritus of Pediatrics, Division of Endocrinology at the University of California, San Francisco (UCSF). He specialises in the field of neuroendocrinology, with an emphasis on the regulation of energy balance by the central nervous system. His research and clinical practice has focused on childhood obesity and diabetes. Dr. Lustig holds a Bachelor’s in Science from MIT, a Doctorate in Medicine from Cornell University. Medical College, and a Master’s of Studies in Law from U.C. Hastings College of the Law.

Dr. Lustig has fostered a global discussion of metabolic health and nutrition, exposing some of the leading myths that underlie the current pandemic of diet-related disease. He believes the food business, by pushing processed food loaded with sugar, has hacked our bodies and minds to pursue pleasure instead of happiness; fostering today’s epidemics of addiction and depression. Yet by focusing on real food, we can beat the odds against sugar, processed food, obesity, and disease.

Please consider supporting Low Carb Down Under via Patreon. A small monthly contribution will assist in the costs of filming and editing these presentations and will allow us to keep producing high quality content free from advertising. For further information visit; https://www.patreon.com/lowcarbdownunder
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View episode show notes here: https://bit.ly/3ugel18

Rick Johnson, Professor of Nephrology at the University of Colorado and a previous guest on The Drive, returns for a follow-up about unique features of fructose metabolism, and how this system that aided the survival of human ancestors has become potentially hazardous based on our culture’s dietary norms. In this episode, Rick explains how the body can generate fructose from glucose and how circulating glucose and salt levels can activate this conversion. He discusses the decline in metabolic flexibility associated with aging, as well as how factors such as sugar intake or menopause-associated hormone changes can alter responses to sugar across a lifetime. In addition, Rick lays out strategies for combating the development of metabolic illness using dietary changes and pharmaceutical therapies, and he discusses the impact of fructose metabolism and uric acid on kidney function and blood pressure. He concludes with a discussion of vasopressin, a hormone that facilitates fructose’s effects on weight gain and insulin resistance.

We discuss:
00:00:00 – Intro
00:00:10 – Unique features of fructose metabolism and why it matters
00:09:00 – A primer on fructose metabolism and uric acid
00:21:04 – Endogenous fructose production, the polyol pathway, and the effect of non-fructose sugars
00:28:20 – Findings from animal studies of glucose and fructose consumption
00:45:06 – What calorie-controlled studies say about the claim that a “calorie is a calorie”
00:56:45 – Implications for aging and disease
01:08:58 – Impact of endogenous fructose production on obesity and metabolic syndrome
01:12:43 – Why vulnerability to the negative effects of sugar increases with age and menopause
01:26:43 – Dietary strategies to reduce the negative impact of fructose
01:43:56 – The role of hypertension in chronic disease and tips for lowering blood pressure
01:54:16 – The impact of fructose and uric acid on kidney function and blood pressure
02:04:50 – The potential role of sodium in hypertension, obesity, and metabolic syndrome
02:11:18 – The role of vasopressin in metabolic disease

——–
About:

The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 35 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more.

Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life).

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Metabolic Syndrome, Animation

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Definition, diagnosis, risk factors, treatments. This video is available for instant download licensing here: https://www.alilamedicalmedia.com/-/galleries/images-videos-by-medical-specialties/metabolism/-/medias/ecf4765f-4f5d-41f0-ae11-54d1827ebf82-metabolic-syndrome-narrated-animation
©Alila Medical Media. All rights reserved.
Voice by : Marty Henne
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All images/videos by Alila Medical Media are for information purposes ONLY and are NOT intended to replace professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.
Metabolic syndrome, also called syndrome X or insulin resistance syndrome, refers to a combination of metabolic risk factors that increase the chance of developing cardiovascular diseases, such as heart attacks or strokes; and type 2 diabetes.
Metabolic syndrome is diagnosed when a patient has at least three of the following:
– A waistline of 40 inches or more for men, or 35 inches or more for women;
– A systolic blood pressure above 130 and a diastolic blood pressure above 85 mmHg, or if the patient is taking blood pressure-lowering medications;
– A fasting blood sugar level above 100 mg/dL, or if the patient is taking glucose-lowering medications;
– A triglyceride level greater than 150 mg/dL;
– An HDL level of less than 40 mg/dL for men, or 50 mg/dLfor women.
Metabolic syndrome, in turn, has its own set of underlying risk factors, of which insulin resistance is most important. Insulin resistance is when the body’s cells do not respond well to insulin and therefore cannot use glucose; glucose stays in the blood, causing high blood sugar levels while the cells are deprived of nutrition. Insulin resistance can be acquired, hereditary, or mixed. Other risk factors include abdominal obesity, physical inactivity, aging, hormonal imbalances, and use of certain medications. Women are more susceptible than men. Some racial and ethnic groups are at higher risk than others.
Metabolic syndrome is often associated with excessive blood clotting and chronic low-grade inflammation, as well as several other conditions, but the cause-effect relationship is not clear.
The goal of treating metabolic syndrome is to reduce the risk of cardiovascular diseases. Treatment aims to lower blood pressure and cholesterol; and to manage diabetes, or prevent it, if it hasn’t already developed.
Lifestyle changes include a heart-healthy diet, physical activity plan, weight management, stress management, and quitting smoking.
If lifestyle changes aren’t enough, medications may be prescribed to lower LDL cholesterol and triglycerides; to reduce blood pressure, blood sugar level, or to prevent blood clots.
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Diabetes mellitus is a group of metabolic diseases that causes a person to have high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced. It’s also a disease of the immune system.

Diabetes affects about 8 percent of the U.S. population or 25 million people. 285 million worldwide. It is estimated that half of all Americans will have diabetes by 2020.

High blood sugar produces the classical signs and symptoms of diabetes: thirst, hunger, weight loss, frequent urination…
Type 2 diabetes is a consequence of a seismic shift in lifestyle beginning about ten thousand years ago.

The shift was from hunting and gathering food to farming and raising animals, then eating the fruit of that labor. Before the shift, Neolithic hunter gatherers gorged food to store body fat in good times to ward off starvation in lean times. Body fat was life insurance!

Today, gobbling food in excess has developed into a pathology linked to obesity, type 2 diabetes, heart disease, and stroke. .
Type 1 Diabetes results from autoimmune destruction of insulin producing beta cells of the pancreas. Incidence varies from eight to 17 per 100 thousand in the U.S. It is fatal unless treated with insulin.
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